SHAL YA TANTRA

Shalya Siddhanta ,- Fun~am_entalsof Surgery 1. Sushruta s contnbut1ons in surgical conce ts d . 2. Knowledge of Dosha, Dhatu and Mala Vi P an prac~1c_es.

diseases . gyan and the1r importance in surgical

3. YSigntificancde aSnhd importance of Rakta as the ChaturthDosha. 4. an ras an astras - Surgical Instrume t A . 5. Trividha Karma - Purva Pradhana and p n hs ~ t n~1ent and recentadvances. 6. Asepsis andAntisepsis . ' as c a arma and itslmportance.

7. Nirjantukarana - Sterili zation v · th d I . - anous me o s for surgical equ1·pm t apa ~osc~pes, _linen and Operationtheatre. en s,

8. Surgical 1nf~ct1ons - Sepsis, Tetanus and Gasgangrene. 9. ~are ?f pa~ients suffering from Hepatitis, HIV-AIDS STD and other associated

infect1ousd1seases. '

10. Ashtavidha Shastra Karma - Critical knowledge and th · 1· t · · · I t. e1r app 1ca 10n in surg1ca

prac ice.

11. ~uturing materials, appropriate use of sutures, drains, prosthetic grafts and surgical implants. ,

12. Concept of Marma and their clinicalapplication. 13. Shock - Its varieties andmanagement.

14. Raktasrava / Haemorrhage - Types, Clinical features andManagement. 15. Concept of Raktastambhana-Haemostasis. 16. Vranasopha - Inflammation and Vidradhi -Abscess

17. Granthi - Cyst and Arbuda - Benign and malignant Neoplasm - Concept of Oncogenesis and genetics of cancer.

18. Gulma and UdaraRoga. 19. Kshudra Roga. 20. Fluid, electrolyte, Acid Base Balance andNutrition

i. Introduction of physiology of fluids and electrolytes.

ii. Dehydration and over hydration. iii. Specific electrolyte loss, Acidosis, Alkalosis, Symptomatology andManagement.

iv. Electrolyte changes in specific surgical conditions and theirmanagement. v. Plasma volume expanders and their use in surgicalcondition. vi . Various replacement fluids in surgery, mode of administration andcomplications.

vi i . Nutrition - Indications, types, mode of administration andcomplications.

21. Blood Transfusion - Blood groups, compatibility, Indications, Contraindications and

complications withmanagement. 22 . Knowledge of antibiotics, analgesics, anti-inflammatory and emergency drugs in

surgical practice.

Vishishta Shalya Vigyana - Shalya TantraSpeciality 1. Yogya Vidhi - Practical and Experimentaltraining

i. Practice of surgical procedures on differentmodels.

ii. Training of Laproscopic and Endoscopicprocedures.

2. Vrana - Woundmanagement i. Management of Nija Vrana, Agantuja Vrana, Dushta Vrana and NadiVrana.

ii. Vrana Chikitsa - Shasti upakramas, Pathya-apathya . iii. Types and Management of Dagdha Vrana - Burns andscalds. . .

iv. Infection of hands and foot, Diabetic wound, Prameha Pidaka - D1abet1c

carbuncle and itsmanagement. . . Management of Pressure ulcers, Venous ulcers and other chronic non-healing v. ulcers.

vi. Gangrene· and itsmanagement.

of kidney, ureter, Id ' eases. knowledge d nis Mut

ra Roga - Urologica d,s physiological 'cles urethra an pe . 3. . I an · al ves1 ,

i. Anatom~!dder, prostate, se~1~tas - Urinarytra~- ari - Urinary stone urinary . f Mutravaha r dures of As m

ii . Investigations o ·sand surgical proce . d Management of

iii . Aetiopathogenes1 t'on Investigations an Hydronephrosis, diseases. - Clinical presenta I f' tion, Neoplasm, Kidney and ureter . Trauma, In ec

iv. ital anomalies, . d Management of Congen atuna t' ations an v ·

0 H droureter and Haem e~entation, Inves ig Diverticu/um, _es1c -

U~nary bladder - Clinic;! P:ma Infection, Neoplas:~s Retentionofunne v. Con enital anomalies, ~a ' iasis,Urinaryd1vers1 ' .

vagi~alfistula,Atony ,Sch ~:i~~:. . Management of Congenita I

- Mutraghata and Mutra t tion Investigations and ethral valve, Trauma, Urethra - Clinical presen_ a E' ispadias, Posterior ur

vi. anomalies - Hypospad1as, P 1· nt enlargement of Infection andNeoplasm. . I - Benign and ma igna

' d seminal ves1c es I Ii I

vii. Prostate an t t't' Prostatic abscess andCa cu d M nagement of Congenita

prostate, Pros a I is, ntation, Investigations an . a . Peyronie's disease viii. Penis - Clinical prese . Phimosis, Paraph1mos1s,

I. Trauma Infection,

anoma ,es , ' . . and Management

~~iti~e~~~ass~~otum - Clinica I presentati~~' I;:a~s~~at,~~;ection' Neoplasm'

ix. of Congenital anomalies, Ectopic tesl t 'spematoc~le, Chylocele, Pyocele, . Hydrocele Vancoce e,

Testicular tors,o~,. 'and Fournier'sgangrene.

Haematocele, Ep1d1dymal_ cyst . Investigations andManagement. Renal failure - Causes, D1agnos1s, x.

Asthi raga and Marma Chi_kitsa -Orthopaedics

4. i. Anatomy and phy_s10/ogy ofbonde.S dh' / Joints - Congenital, Degenerative, Diseases of Asth, / Bone an an I •

ii. Infective, Metabolic and Neoplastic Disorders of Bones andJomts. d of

Aetiopathogenesis, treatment a~ong . with surgical . proce ures

iii. Bhagna - Fracture, Sandimoksha - D1s/ocati_on and bonegraftmg.

Diseases of Spine, vertebral column and spmalcord. iv.

Adhunik Sha/ya Karma -Modern surgery _ _ .

1. Fundamentals of modern surgery and treatment of surgical disorders including surgical anatomy, physiology andpathology.

2. Diagnosis and Surgical treatment of head and spine injury, thoracic trauma and abdominal trauma. Blast injuries andManagement

3. Diagnosis and Surgical management of neck disorders e.g. salivary glands, thyroid,

Thyroglossal cyst and Fistula, Branchial cyst and fistula, Cystic hygroma and Lympadenopathies.

4. Diagnosis and Surgical management of breast diseases, Benign and Malignant breast tumours.

s. Diagnosis and s_urgical measures of diseases of Gastrointestinal system-

1. f o_bral ~av,tly -kOra, I k~lcercs'1 Oral cancer, Precancerous conditions, Submucosal

1 ros1s, eu op a 1a, eft lip and pa/ate, lip tumours M I

Nasopharyngeal cancer, Tongue ulcer andcancer. ' ucosa cyst,

ii. Oesophagus - Oesophageal varices, Dysphagia Neoplasm Str1·ctures and Gastro oesophagealreflux. ' ,

Iii. Stomach and duodenum - Congenital anomalies • . .

Ulcer, Neoplasm, Pyloric stenosls, Acute dllat ti ,H _InJunes, _Inflammation,

bodies. a on , iatus hernia and Foreign Iv. Pancreas - Congenital anomalies Acute d .

Neoplasm and Cysts Pf pancreas: an Chronic pancreatitis, Calculi

D d~i....

v.

vi. vii .

viii .

ix.

x.

xi.

Peritoneum, Omentum, Mesentery, Retroperitoneal Space - Peritonitis, Abscess, . Neoplasm, Mesenteri c cyst, Torsion of mesentery, Vascular thromb_os1s, Retroperi toneal cyst and Fibrosis . Abdom1_nal m_ass - Diagnosis andManagement. Small _intest,_ne . - Cong~nital anomalies, Inflammation, Ulcer, Neoplasm, Steno~is,. InJunes, ~or~1gn bodies, Diverticuli, Peutz-jeghers syndrome, Chron s_ disease, Carcino1d tumours, Enteric perforation and Intestinalfistula . Large _intes~in~ - Congenital anomalies, Inflammation, Ulcer, Neoplasm, Stenos1s, InJunes, Foreign bodies Diverticuli Faecal fistula Amoebiasis and Familial polyposiscoli. ' ' ' Caecu~ and Vermiform appendix- Appendicitis, Appendicular abscess, Append1cular mass, Perforation, Carcinoid Tumor and otherNeoplasm. Gastrointestinal bleeding - Haemetemesis, Malaena, Haemobilia, Bleeding per anum - Causes, Diagnosis andManagement. Rectum and anal canal - Diagnosis and Surgical management of Congenital Anomalies, Inflammation, Ulcer, Neoplasm, Stenosis, Prolapse, Haemorroids, Fistula - in-ano, Fissure-in-ano, Anorectal Abscess, Incontinence, Injuries, Foreign bodies, Sacrococcygeal Teratomas and Pilonidal sinus.

6. Umbilicus and abdominal wall - Congenital anomalies, Umbilical infections, Sinus, Neoplasm, Abdominal dehiscence, Divarication of recti, Desmoid tumor and Meleney'sgangrene.

7. Diagnosis and surgical measures of diseases of Hepatobiliary system-i. Liver - Abscess, Cyst - Hydatid cyst, Primary and Secondary malignant

tumours, Portal Hypertension and Budd-ChiariSyndrome. ii. Gall bladder and Bile duct - Congenital anomalies, Acute and Chronic

Cholecystitis, Cholelithiasis, Neoplasm, Cholangitis, Stenosis, Choledocholith iasis, Choledochal cyst and Cholangiocarcinoma.

111 . Spleen - Splenomegaly and Splenicinjury. 8. Diagnosis and surgical measures for disorders of Artery, Vein, Ligaments, Muscles

and Tendons. 9. Diagnosis and surgical management of Hernias - Inguinal, Femoral, Umbilical,

Incisional, Abdominal wall and otherhernias. 10. Endoscopic procedures - Oesophagogastroduodenoscopy, Sigmoidoscopy and

Colonoscopy. 11. Diagnostic and therapeuticlaparoscopy. 12. Anaesthesia - Definition, Types, Anesthetic agents, Indications, Contraindications,

Procedures, Complications andmanagement.

Shalya Vangmaya - Shalya literature, Research and Development 1. Thorough study of the Sushruta Samhita including other relevant portions of

Brihattrayee and Laghutrayee. 2. Knowledge and importance of SurgicalAudit. 3. Medico legal issues - Understanding the implications of acts of omission and

commission in practice. Issues regarding Consumer Protection Act, medical profession, national health policy - Implications in a medico-legal case like accidents, assaultsetc.

4. Surgical ethics including Informedconsent. 5. Knowledge of different type of experimental Surgical Model for Research inSurgery. 6. Sandhana Karma Plastic reconstructive and cosmetic surgery.

Fundamentals of Sandhana Karma­i. Karna Sandhana - Auroplasty ii. Nasa Sandhana - Rhinoplasty iii. Ostasandhana - Cheiloplasty iv. Grafts and Flaps - Techniques andappllcations. v. Vascular anastomosis andgrafts.

Joint M -·

7. Anushalya Karma - Parasurgicalprocedures k kh i. Kshara Karma , Kshara Sutra, Agnikarma andRa tamos ana.

Shalya Siddhanta - FundamentalsofSurgery . 1 Sushruta 's contributions in surgical concepts andpract1ces. 2 Knowledge of Dasha, Dhatu and Mala Vigyan and their importance in surgical

diseases . 3 Significance and importance of Rakta as the ChaturthDosha. 4 Yantras and Shastras - Surgical Instruments - Ancient and recentadvances. 5 Triv idha Karma - Purva, Pradhana and Pashchat Karma and itslmportance. 6 Asepsis andAntisepsis. 7 Nirjantukarana - Sterilization - Various methods for surgical equipments,

laparoscopes, linen and Operationtheatre. 8 Surgical infections - Sepsis, Tetanus and Gasgangrene. 9 Care of patients suffering from Hepatitis, HIV-AIDS, STD and other associated

i nfectiousd iseases. 10 Ashtavidha Shastra Karma - Critical knowledge and their application insurgical

practice . 11 Suturing materials, appropriate use of sutures, drains, prosthetic, grafts andsurgical

implants. 12 Concept of Marma and their clinicalapplication. 13 Shock - Its varieties andmanagement. 14 Raktasrava / Haemorrhage - Types, Clinical features andManagement. 15 Concept of Raktastambhana-Haemostasis. 16 Vranasopha - Inflammation and Vidradhi -Abscess 17 Granthi - Cyst and Arbuda - Benign and malignant Neoplasm - Concept of

Oncogenesis and genetics of cancer. 18 Gulma and UdaraRoga. 19 Kshudra Raga. 20 Fluid, electrolyte, Acid Base Balance andNutrition

a. Introduction of physiology of fluids and electrolytes. b. Dehydration and over hydration. c. Specific electrolyte loss, Acidosis, Alkalosis, Symptomatology andManagement. d. Electrolyte changes in specific surgical conditions and theirmanagement. e. Plasma volume expanders and their use in surgicalcondition. f . Various replacement fluids in surgery, mode of administration andcomplications . g. Nutrition - Indications, types, mode of administration andcomplications.

21 Blood Transfusion - Blood groups, compatibility, Indications, Contraindications and complications withmanagement .

22 Knowledge of antibiotics, analgesics, anti-inflammatory and emergency drugs in surgical practice.

VishistaAnushastraKarma 1. Kshara Karma and Prayoga - Therapeutic ChemicalCauterization. · Introduction of different types of Kshara, Method of preparation , Standardization , pH '· value, Application, Complications and itsmanagement.

Surgical Anatomy and Physiology of Anus andR~ctum . . . ii. Arshas _ Nidana, Purvaroopa, Roopa, Samprapt_1, Praka_ra andCh1k1tsa . ii i. Haemorrhoids - Aetio-pathogenesis, typ~s and its suhrg1_cdalmaRnabgbembent .d 1· t · iv · d of different methods of treating Haemorr 01 s - u er an 1ga 10n, v • Know le ge d' f ency Ablation cryo-surgery, Cautery, Laser, Infrared D .G.H .A.L, Ra 10 requ , · ' .

. d other advancedtechniques . coagulation an . 5

apti Prakara, ooshanusarachikitsa, Knowledge an . Bhagandara - N1dana, ampr ' VI.

application of KsharaSutra.

L

vii. Fistu~a- in-ano - Def_inition, Aetio-Pathogenesis, Types, Diagnostic methods and its Surgical, Pa~a Surgical Management including knowledge of Fibrin Glue, Advanced Flap Therapies and other recenttechniques.

viii. Parikartika - Nidana, Samprapti and itsChikitsa . ix. Fissure- in-ano - Aetio-pathogenesis, types and its surgicalmanagement. x. Sannirudhaguda and itsChikitsa. xi. Anal Stenosis - Aetio- pathogenesis and its surgicalmanagement. xii. Gudavidradhi - Nidana, Purvaroopa, Roopa, Samprapti, Prakara and itsChikitsa. xiii. Anorectal abscesses - Aetio- pathogenesis, types, complications and itssurgical

management. xiv . Gudagatashalya - Diagnosis and itsManagement. xv . Fore ign body in rectum and anal canal - Method of diagnosis and its management. xv i. Congenital Anorectal disorders and its surgicalmanagement.

xvi i. Gudaarbuda and Granthi and itsChikitsa. xviii. Anorectaltumour - Types and its surgicalmanagement.

2. Agnikarma - Therapeuticcauterization i. Introduction, definition and importance ofAgnikarma. ii. Agnikarma - Poorva, Pradhana and Paschat karma, various substances andShalakas

used for Agnikarma and their indications, contra-indications andcomplications. iii. Diagnosis and management of Oil burn, Dhumopaghata, Ushnavata, Sunburn,Frost

bite and Electricburn. iv. Knowledge of modern thermal equipment - Diathermy, Laser therapy, microwave,

Ultracission technique, Crye Technique and itsuses. v . Effect of Agnikarma on skin, muscle tissue, nerves, metabolism, blood circulation and

infectivelesions.

3. Raktamokshana - BloodlettingProcedures i. Introduction and importance ofRaktamokshana. ii. Indication and contraindication ofRaktamokshana. iii. Justification of usage of different types of Raktamokshana in various therapeutic

applications. iv. Different types of Raktamokshana - Sastrakritha - Siravyadhana, Prachana and

Asastrakritha - Shringa, Jaluka, Alabu andGhati. v. Jalauka - Nirukti, Paryaya, Bhedha, Sangrahana,Samrakshana, Jalaukavacharana

Vidhi - Poorva, Pradhana and Paschatkarma. vi. Knowledge of Leeches - Morphology, Anatomy, Physiology, Bio-chemical effects of its

various constituents present in itssaliva. vii. Rakta- Importance, Formation, Panchabhoutikatva, RaktaSthana, Guna, Prakurta

Karma and Rakta Sara Purashalakshanas. Suddha and Dushta Rakta Lakshanas. Rakta PradoshajaVyadhis.

Adhunika Shastra Karma -ModernSurgery 1. Fundamentals of modern surgery and treatment of surgical disorders including

surgical anatomy, physiology and pathology. 2. Diagnosis and surgical measures for disorders of vein, artery, ligaments, joints and

muscles . 3. Diagnosis and Surgical management of neck disorders e.g. salivary glands, thyroid

tumours, etc. 4. Diagnosis and Surgical management of breastdiseases. 5. Diagnosis and surgical management of traumatic disorders - Head injury, thoracic

and abdominaltrauma. 6. Diagnosis and surgical management of diseases of Gastrointestinal system- stomach,

pancreas, peritoneum, omentum, mesentery, retroperltoneal space, small intestine, large intestine and vermiformappendix.

Jo uca:l,r·,:·,

OirectoratEe t:,f AY u St-

I icaldisorders. .

. ·cal management of Procto of gH atobiliary system - Liver, gall

7. Diagnosis and surg~ sures of diseases o ep 8 Diagnosis and surgical mea

9·_ ~~~~~~it~~J~~:gf :a~:~;;~em:~~ ~~ ~::::::: ~~ ~~~!~:t:l~~s;::~. -Hydrocele, 10 . Diagnosis and surgical managem .

. . Ectopic testis and ~ndescendedtest1s~f Hernias - Inguinal, femoral, umb1l1cal,

11 . Diagnosis and surgical management . incisional , abdominal wall and otherhern~aiduodenoscopy, Sigmoidoscopy and

12. Endoscopic procedures - Oesophagogas r Colonoscopy. 13. Diagnostic and th~r~?euticlaparoscopyt. h t' gents Indications, Contraindications,

14. Anaesthesia - Defm1t1on, Types, Anaes e 1c a , Procedures, Complications andManagement.

Sh alyaVangmaya

I rt· f

1. Thorough study of the Sushruta Samhita including other re evant po ions o

Brihattrayee and Laghutrayee. 2. Knowledge and importance of SurgicalAudit. 3. Value of research and teaching insurgery. 4. Medico legal issues - Understanding the implications of actsofomission and

commission in practice. Issuesregarding Consumer Protection Act, medical

profession, national health policy - Implications in a medico-legal case like accidents,

assaultsetc. s. Surgical ethics including Informedconsent. 6. Knowledge of different type of experimental Surgical Model for Research inSurgery . **************

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